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UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO
1707 W CHARLESTON BLVD
110B
LAS VEGAS, NV89102-2351
 Phone: 702-968-4363
 Fax: 702-671-0193
 Website:
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO · (Female)

NPI # 1417080839
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2007
Last updated 10/14/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NV Medicaid 100500484
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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